<include file="Wechat@Public:header" />
    <div class="row">
    	<div class="col-md-12">
        	<div class="panel panel-warning">
            	<div class="panel-heading">{:L(CONTROLLER_NAME.'_'.ACTION_NAME)}</div>
                <div class="panel-body">
                    <div class="pub-content">
                        <form method="POST" action="" class="subform">
                            <ul class="form-list">
                                <li>
                                    <span class="form-title"><span class="color-red">*</span>姓名：</span>
                                    <span class="form-content">
                                        <input type="text" name="name" value="" placeholder="姓名" size="25" />
                                    </span>
                                </li>
                                <li>
                                    <span class="form-title"><span class="color-red">*</span>联系电话：</span>
                                    <span class="form-content">
                                        <input type="text" name="phone" value="" placeholder="联系电话" size="25" />
                                    </span>
                                </li>
                                <li>
                                    <span class="form-title"><span class="color-red">*</span>学号/工号：</span>
                                    <span class="form-content">
                                        <input type="text" name="idcard" value="" placeholder="学号/工号" size="25" />
                                    </span>
                                </li>
                                <li>
                                    <span class="form-title"><span class="color-red">*</span>活动内容：</span>
                                    <span class="form-content">
                                        <textarea name="content" style="width:450px; height:120px; resize:none;"></textarea>
                                    </span>
                                </li>
                                <li>
                                    <span class="form-title">&nbsp;</span>
                                    <span class="form-content">
                                        <button type="submit" class="form-submit">{:L('SUBMIT')}</button>
                                    </span>
                                </li>
                                <div class="clear"></div>
                            </ul>
                        </form>
                    </div>
                </div>
            </div>            
        </div>
        <div class="clear"></div>
    </div>
<include file="Wechat@Public:footer" />